家庭暴力及其应对策略

近几十年来，公众和社会逐渐认识到家庭暴力是一种主要的公共健康问题，它影响着不同种族、不同社会、不同经济背景中的个体。目前家庭暴力依然是当今社会中的一大问题。结束家庭暴力要求全体社会的共同关注，包括卫生保障部门、执法部门、社会服务系统联合起来应对家庭暴力。     

Aggressive therapy of infants with renal failure

Nine infants, who presented with renal failure within the first 3 months of life, were treated with continuous ambulatory peritoneal dialysis (CAPD). Seven infants survived to an age of 12–15 months, when they received transplants. Two patients died while on CAPD. Six infants are alive with a functioning renal allograft, at an average age of 35.5 months and an average of 22 months post-transplant. Neurological development is normal in four of the six infants tested. The mean current height of the six transplant recipients is just below 2 SD from the mean.     

医院图书馆过刊剔旧工作的思考

分析了医院图书馆过刊剔旧的必要性与可行性,提出了剔旧原则与建立全国性文献剔除网络中心的设想.     

急性心肌梗塞猝死的诱因及抢救(附13例报告)

本文报告了急性心肌梗塞猝死13例。分析猝死的诱因主要有血清钾浓度降低,严重心律失常,包括室内传导阻滞、室性并行心律、室性早搏等。近年来急性心肌梗塞的发病率日趋增高,心源性猝死也随之增多,有必要对猝死的诱因进行探讨,以采取有效的抢救措施。     

中药泡洗治疗糖尿病足90例疗效分析

目的为了观察中药泡洗对糖尿病足的疗效。方法对90例糖尿病足患者用中药（方剂组成：桃仁、红花、桂枝、没药、乳香、花椒、川芎等各10g）水煎制后分为2袋各300ml配合足浴仪泡洗，2次，d，30min／次，10d为1疗程。结果全组90例患者显效66例，有效24例，总有效率100％。结论中药泡洗治疗糖尿病足疗效确切。     

佩尔地平治疗妊娠高血压病人的护理管理路径

目的探讨护理管理路径在应用佩尔地平治疗的重度子痫前期病人的效果，以期达到最佳的治疗效果，并减少并发症的发生。方法将用佩尔地平针治疗的重度子痫前期的病人486例随机分为两组，一组按常规护理，另一组按制定的护理管理路径护理。结果患者依从性对照组为168例，占70％；观察组为228例，占92．68％，P〈0．05，其差异有统计学意义。胎死宫内发生率对照组为9．16％，观察组为0．81％，P〈0．05，其差异有统计学意义。血压的稳定性对照组为36．3％，观察组为97．6％，P〈0．05，其差异有统计学意义。结论护理管理路径可以提高重度妊娠高血压疾病的治疗效果，减少并发症的发生。     

脐带缠绕的临床护理

目的总结脐带缠绕的临床护理体会。方法通过对129例脐带缠绕患者的临床观察，根据病情辩证地提出施扣要点，给予整体护理。结果129例（占同期分娩602例的21．4％）脐带缠绕患者中初产妇104例（80．6％），经产妇25例（19．4％）；经产妇脐带缠绕发生率36．2％（25／69）较初产妇19．5％（104／533）显著增高p〈0．01（u=3．183）；结论对患者临产前、临产中、临产后的各阶段应进行细致临床观察和针对性护理，根据患者的个体特点进行针对性护理是获得满意效果的重要因素。     

Leiomyosarcoma originating in Meckel's diverticulum: Report of a case and a review of 59 cases in the English literature

A 49-year-old woman was referred to our hospital with complaints of epigastric colicky pain and high fever. Abdominal computed tomography and ultrasonography showed a solid tumor in the lower abdomen. Laparotomy revealed a neoplastic mass arising in Meckel's diverticulum; therefore, a segment of the ileum, including the tumor-possessing diverticulum, was resected with a lymph node dissection. A histologic examination confirmed the lesion to be leiomyosarcoma. In the English literature, 59 cases of leiomyosarcoma in Meckel's diverticulum were reported from 1941 to 1994. The majority of patients were in their 4th decade of life, with both sexes equally affected. The most frequent symptoms associated with this disease were abdominal pain with nausea, vomiting, and melena. The majority were larger than egg-size. Although Meckel's diverticulum is difficult to diagnose preoperatively, mesenteric arteriography may at times prove useful. The standard management of this particular tumor is wide segmental resection, including the tumor and diverticulum with lymph node dissection.     

护理诊断的进展

本文从护理诊断的概念与发展；护理诊断的目标与发展；护理诊断的分类与发展；护理诊断在我国的应用与发展以及如何作出护理诊断五个方面综述了护理诊断的发展过程及重要性。     

论医院质量管理推行ISO9000族标准的必要性

为了迎接医疗市场的竞争和挑战 ,医院将应用于工业企业的ISO90 0 0族标准引入到医疗服务领域。它通过严格的过程控制 ,使医院实现了质量管理制度健全化、系统化、合理化 ,大大减少了服务中的差错 ,全面提高了服务质量 ;通过工作程序化及持续改进 ,改善了医务人员的工作环境 ,提高了医院运作效率和运营效益。本文从现行的质量管理的不足分析入手 ,从八个方面阐述医院质量管理推行IS0 90 0 0族标准的必要性 ,以此来说明医院的质量管理采用ISO90 0 0族标准 ,将会使医院的质量管理有一个质的飞跃。事实证明通过认证的医院已从中收益。